Secondary adrenal insufficiency manifested as an acute febrile illness.

abstract：OBJECTIVES:Pulmonary arterial hypertension (PAH) is a progressive disease that can be treated with several medications. Macitentan, an endothelin receptor antagonist (ERA), has received approval as a PAH therapy. We report our data regarding the tolerability in patients with PAH who were switched from bosentan to macit...

journal_title：Southern medical journal

authors： Safdar Z,Thakur A,Frost A

更新日期：2017-03-01 00:00:00

abstract：:Patients with sickle cell disease are predisposed to infection caused by Streptococcus pneumoniae. However, there has been only one published case of bacteremic pneumococcal meningitis in an adult with sickle cell anemia. We report here the cases of six adults with sickle cell disease, pneumococcal sepsis, and meningi...

journal_title：Southern medical journal

authors： Olopoenia L,Frederick W,Greaves W,Adams R,Addo FE,Castro O

更新日期：1990-09-01 00:00:00

abstract：:In the past 30 years there has been no improvement in the five-year survival rate for endometrial carcinoma. Any change comparable to improved survival in cervical carcinoma will be accomplished only by similar detection of the early asymptomatic and precursor lesions of endometrial carcinoma. Reasons why the conventi...

journal_title：Southern medical journal

authors： Muenzer RW,Kim K

更新日期：1980-04-01 00:00:00

abstract：:Doyle's medical writings represent a valuable contribution to both the scientific and nonscientific aspects of medicine of the late 19th Century. Up to the present, accounts of these writings have been few, and none of them have been evaluative of their scientific merit. Analysis of Doyle's writings on infectious dise...

journal_title：Southern medical journal

authors： Rodin AE,Key JD

更新日期：1982-11-01 00:00:00

abstract：:A case of ruptured interstitial pregnancy is reported, along with review of the literature. Although sonography did not differentiate between interstitial and intrauterine pregnancy, I believe it will prove to be one of the most accurate diagnostic aids in detecting this condition. ...

journal_title：Southern medical journal

authors： Gray CL

更新日期：1980-09-01 00:00:00

abstract：:A clinical diagnosis of meningitis in neonates is difficult because of paucity of physical findings. In older infants and children, nuchal rigidity, Kernig's or Brudzinski's sign, or bulging fontanelles are sought. A review of 1,064 cases of bacterial meningitis beyond the neonatal period revealed that 16 (1.5%) patie...

journal_title：Southern medical journal

authors： Geiseler PJ,Nelson KE

更新日期：1982-04-01 00:00:00

abstract：:Many health care providers practicing near the border between the United States and Mexico have serious concerns about their patients' using medications obtained in Mexico. Despite these concerns, the extent of this problem is not known. A survey administered in a publicly funded rural clinic and an urban private prac...

journal_title：Southern medical journal

authors： Tabet SR,Wiese WH

更新日期：1990-03-01 00:00:00

abstract：BACKGROUND:The objective of the study was to determine whether treatment with protease inhibitors is associated with unprotected sexual behavior. METHODS:A total of 592 HIV-infected persons recruited from statewide public clinics in nonurban Alabama communities completed an assessment that, among other variables, elic...

journal_title：Southern medical journal

authors： DiClemente RJ,Funkhouser E,Wingood G,Fawal H,Holmberg SD,Vermund SH

更新日期：2002-04-01 00:00:00

abstract：:This is a case which highlights unique diagnostic challenges in the evaluation of a previously healthy patient presenting with a myelopathy initially most concerning for malignancy. However, timely recognition and nonoperative therapy of unexpected spinal sarcoidosis with corticosteroidal therapy was crucial in averti...

journal_title：Southern medical journal

authors： Nguyen H,Le C,Nguyen H

更新日期：2010-09-01 00:00:00

abstract：:Autologous fascia lata tissue transfer is a feasible alternative to reconstruction of the abdominal wall in selected patients. We describe a new technique using minimally invasive technology that allows harvest of the fascia lata graft without the traditional large thigh incision. ...

journal_title：Southern medical journal

authors： Tucker JG,Choat D,Zubowicz VN

更新日期：1997-04-01 00:00:00

abstract：:Keloid management remains controversial, and recurrence and untoward side effects limit the use of many techniques. During a seven-year period, I surgically treated 19 children, aged 3 to 17 (mean 10.5 years), with a total of 28 keloids. After aseptic skin preparation, the interface between the keloid and normal skin ...

journal_title：Southern medical journal

authors： Golladay ES

更新日期：1988-06-01 00:00:00

abstract：:Based upon the cases reported in this paper and upon a literature review encompassing 1,783 patients having received HAIC, it is our opinion that upper gastrointestinal tract ulceration is a potentially significant complication of hepatic artery infusion chemotherapy. In addition, we believe that the mechanism respons...

journal_title：Southern medical journal

authors： Bible KC,Hatfield AK,Lansford CL,Kammer BA

更新日期：1986-06-01 00:00:00

abstract：:A 30-year-old man had endocarditis and hip arthritis associated with the recently recognized fungus, Scedosporium inflatum. Inhibition, and possibly cure, of endocarditis occurred with medical therapy alone. Data from in vitro susceptibility testing did not predict clinical response. This case also illustrates the nee...

journal_title：Southern medical journal

authors： Toy EC,Rinaldi MG,Savitch CB,Leibovitch ER

更新日期：1990-08-01 00:00:00

abstract：OBJECTIVES:The use of monitored anesthesia care (MAC) for colonoscopy sedation continues to increase. This study examined trends during a 9-year period in the use of MAC and explored which patient variables may have influenced these trends. METHODS:This was a retrospective review of all colonoscopies performed in our ...

journal_title：Southern medical journal

authors： Aravapalli A,Norton HJ,Rozario N,Simpson J,DelGrosso B,Scobey MW

更新日期：2015-09-01 00:00:00

abstract：:A patient who presented with recurrent syncopal episodes was discovered to have a right-sided heart mass, which was revealed as an embolus in transit resulting in a lethal pulmonary embolic event. The initial focus of etiology on tumor rather than thrombus was misleading. A higher index of suspicion of thrombus in rig...

journal_title：Southern medical journal

authors： Dejecacion J,Veselka D,Ragain M,Jenkins LA,Meyerrose G

更新日期：2003-11-01 00:00:00

abstract：:We studied the prevalence of non-group-A beta-hemolytic streptococci (NGAS) in the pharyngeal cultures of symptomatic and asymptomatic children. Throat cultures were obtained by house officers in the Emergency Department at Children's Hospital of Pittsburgh to aid in the evaluation of children with symptoms or signs o...

journal_title：Southern medical journal

authors： Hofkosh D,Wald ER,Chiponis DM

更新日期：1988-03-01 00:00:00

abstract：:Potentially serious iatrogenic hand injuries occurred in three patients in a general medicine practice. All resulted from technologic advances in patient care. Each resulted in substantial economic and emotional costs. One patient sustained a serious residual disability. Such injuries have rarely been reported in the ...

journal_title：Southern medical journal

authors： Burris JF,Fairchild PG

更新日期：1986-12-01 00:00:00

abstract：:The objective of this study was to determine the effect(s) of pregnancy and of advancing gestation on maternal serum amylase and lipase levels. Thus, serum amylase and lipase concentrations were quantitated in three groups of women. Groups included (1) 118 pregnant women whose serum amylase and lipase levels were meas...

journal_title：Southern medical journal

authors： Xydas NP,May JH,Henson MC

更新日期：1996-02-01 00:00:00

abstract：:Gastrosplenic fistula resulting from erosion of a primary splenic lymphoma is a rare cause of massive upper gastrointestinal hemorrhage associated with benign peptic ulcer disease, gastric Crohn's disease, gastric adenocarcinoma, and primary gastric and splenic lymphomas. Upper intestinal hemorrhage can be successfull...

journal_title：Southern medical journal

authors： Bird MA,Amjadi D,Behrns KE

更新日期：2002-08-01 00:00:00

abstract：:A case is reported of megaloblastic anemia resulting from folate deficiency in a vegetarian who had been taking oral contraceptives for eight years. A brief report of the pertinent literature is included, ...

journal_title：Southern medical journal

authors： Green JD

更新日期：1975-02-01 00:00:00

abstract：:We report the case of a 55-year-old woman who was thought to have systemic lupus erythematosus (SLE) for more than 13 years before Crohn's colitis was correctly diagnosed. The differentiation of Crohn's disease from SLE may be difficult, as illustrated by our case. Gastrointestinal symptoms, laboratory studies, and ra...

journal_title：Southern medical journal

authors： Buchman AL,Wilcox CM

更新日期：1995-10-01 00:00:00

abstract：:Transient synovitis of the hip is an acute and self-limited disease commonly seen in children. It is the most common cause of acute hip pain in children ages 3 to 10. It is not considered a disease of adults. It usually only affects one hip. The child may complain of pain that is much worse with walking and may actual...

journal_title：Southern medical journal

authors： Quintos-Macasa AM,Serebro L,Menon Y

更新日期：2006-02-01 00:00:00

abstract：:The "wink" sign of nerve root cut-off seen on metrizamide-enhanced computerized tomography correlates well with compression of a lumbar nerve by a herniated disk. Seven of 46 patients had normal or equivocal myelograms, but had definite nerve root cut-off on metrizamide-enhanced CT scan. All seven patients were found ...

journal_title：Southern medical journal

authors： Smith GR

更新日期：1986-05-01 00:00:00

abstract：:I report my experience during one 6-month period as the sole rheumatologist running a weekly clinic at a small community hospital. The report illustrates the impact of rheumatologic expertise in an environment well-served by generalists and other medical subspecialists. This experience identifies important gaps in the...

journal_title：Southern medical journal

authors： Kerr LD

更新日期：1995-03-01 00:00:00

abstract：:Most regions of the United States are served by poison control centers that provide 24-hour toxicologic guidance resulting in the home management of most poison exposures. It has been suggested that without public access to a poison control hotline the majority of poison-exposed patients would seek medical care in eme...

journal_title：Southern medical journal

authors： King WD,Palmisano PA

更新日期：1991-06-01 00:00:00

abstract：:Sleep loss impairs ventilatory responsiveness to hypercapnia and hypoxia, and also interferes with performance on spirometry. To test the hypothesis that the decline in hypercapnic drive due to sleep loss is mediated by endorphin production, we measured loaded and unloaded CO2 response after injection of placebo and n...

journal_title：Southern medical journal

authors： Phillips B,Cooper KR,Newsome HH,Dewey WL

更新日期：1987-01-01 00:00:00

abstract：:Six patients with Marfan's syndrome were included in a study to determine the effect of beta-blockers on progressive aortic dilation. Patients' histories and results of physical examination, chest radiogram, electrocardiogram, and echocardiogram are reported. Patients ranged in age from 5 years 8 months to 14 years; o...

journal_title：Southern medical journal

authors： Tahernia AC

更新日期：1993-03-01 00:00:00

abstract：:There are an estimated 22 million users of smokeless tobacco in the United States, 3 million of them under age 21. We surveyed physicians and patients to determine whether the health hazard of smokeless tobacco was recognized and whether preventive measures were being implemented. Although more than 80% of physicians ...

journal_title：Southern medical journal

authors： Gross JY,D'Alessandri R,Powell VL,Rodeheaver A

更新日期：1988-09-01 00:00:00

abstract：:An unusual intestinal infection with the parasite Metagonimus yokogawai was acquired by an American traveling in the Orient. Diarrhea began abroad, and recurred at intervals until she was seen 1 1/2 years later. Stool examinations resulted in the recovery of small operculated ova characteristic of intestinal or biliar...

journal_title：Southern medical journal

authors： Goldsmith RS

更新日期：1978-12-01 00:00:00

abstract：:Use of the needle-catheter feeding jejunostomy at Richland Memorial Hospital and the Dorn Veterans Administration Hospital, both clinical teaching institutions of the University of South Carolina School of Medicine, has been evaluated in 114 patients ranging from 20 to 90 years old. The results of this survey span a 3...

journal_title：Southern medical journal

authors： Strickland GF,Greene FL

更新日期：1986-11-01 00:00:00